Imaging prices at Purcell Municipal Hospital
Purcell, OK · every code in this section with a posted price and a Medicare benchmark.
214 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abdomen 1 View (74018) | $118.31 | $197.18 | 1.4× |
| Abdomen 2 views (74019) | $166.15 | $276.91 | 1.7× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $805.43 | $1,342.38 | 2.1× |
| Ankle 2 views (73600) | $118.31 | $197.18 | 1.4× |
| Bone age studies (77072) | $166.15 | $276.91 | 1.7× |
| Bone Imaging 3 Phase (78315) | $545.70 | $909.50 | 1.4× |
| Bone Imaging Whole Body (78306) | $545.70 | $909.50 | 1.4× |
| Bone survey infant (77076) | $166.15 | $276.91 | 1.7× |
| Chest 1 view (71045) | $118.31 | $197.18 | 1.4× |
| Chest 2 views (71046) | $118.31 | $197.18 | 1.4× |
| Chest 3 views (71047) | $118.31 | $197.18 | 1.4× |
| Cholecystography Oral Contrast (74290) | $270.11 | $450.19 | 1.6× |
| Clavicle complete (73000) | $118.31 | $197.18 | 1.4× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $329.75 | $549.58 | 3.3× |
| Contrast Xray Throat/Cerv Esopha (74210) | $270.11 | $450.19 | 1.6× |
| CT abdomen and pelvis without and with contrast (74178) | $566.03 | $943.39 | 1.7× |
| CT abdomen and pelvis without contrast (74176) | $404.98 | $674.96 | 1.8× |
| CT abdomen w contrast (74160) | $404.98 | $674.96 | 2.4× |
| CT abdomen w wo contrast (74170) | $404.98 | $674.96 | 2.4× |
| CT abdomen w/o contrast (74150) | $404.98 | $674.96 | 4.0× |
| CT Angio Abdomen and Pelvis (74174) | $566.03 | $943.39 | 1.7× |
| CT Angio Chest (71275) | $445.07 | $741.79 | 2.6× |
| CT Angio Head (70496) | $293.79 | $489.65 | 1.7× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $445.07 | $741.79 | 2.6× |
| CT Angio Neck (70498) | $329.75 | $549.58 | 2.0× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $445.07 | $741.79 | 2.6× |
| CT bone density (77078) | $118.31 | $197.18 | 1.4× |
| CT cervical spine w/ contrast (72126) | $566.03 | $943.39 | 1.7× |
| CT cervical spine w/o contrast (72125) | $274.12 | $456.87 | 2.7× |
| CT cervical spine w/wo cont (72127) | $291.25 | $485.42 | 1.7× |
| CT chest w contrast (71260) | $358.75 | $597.91 | 2.1× |
| CT chest w/wo contrast (71270) | $358.75 | $597.91 | 2.1× |
| CT head/brain with contrast (70460) | $337.64 | $562.74 | 2.0× |
| CT head/brain without and with contrast (70470) | $337.64 | $562.74 | 2.0× |
| CT iac w contrast (70481) | $329.75 | $549.58 | 2.0× |
| CT l-spine w&w/o contrast (72133) | $291.25 | $485.42 | 1.7× |
| CT lower ext w/o (73700) | $329.75 | $549.58 | 3.3× |
| CT lower extremity w/contrast material (73701) | $329.75 | $549.58 | 2.0× |
| CT lumbar spine w contrast (72132) | $566.03 | $943.39 | 1.7× |
| CT lumbar spine w/o contrast (72131) | $274.12 | $456.87 | 2.7× |
| CT maxillofacial w contrast (70487) | $358.75 | $597.91 | 2.1× |
| CT maxillofacial wo contrast (70486) | $329.75 | $549.58 | 3.3× |
| CT neck tissue combo (70492) | $329.75 | $549.58 | 2.0× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $329.75 | $549.58 | 2.0× |
| CT orbits w/o contrast (70480) | $329.75 | $549.58 | 3.3× |
| CT pelvis w&w/o contrast (72194) | $404.98 | $674.96 | 2.4× |
| CT pelvis w/o contrast (72192) | $404.98 | $674.96 | 4.0× |
| CT scan of leg combo (73702) | $329.75 | $549.58 | 2.0× |
| CT scans face/jaw combo (70488) | $358.75 | $597.91 | 2.1× |
| CT soft tissue neck w contrast (70491) | $329.75 | $549.58 | 2.0× |
| CT soft tissue neck w/o contrast (70490) | $329.75 | $549.58 | 3.3× |
| CT thoracic spine w contrast (72129) | $291.25 | $485.42 | 1.7× |
| CT thoracic spine w/o contrast (72128) | $274.12 | $456.87 | 2.7× |
| CT thoracic spine w/wo cont (72130) | $291.25 | $485.42 | 1.7× |
| CT thorax w/o contrast (71250) | $329.75 | $549.58 | 3.3× |
| CT upper ext wo (73200) | $329.75 | $549.58 | 3.3× |
| CT upper extremity w/o & w/contrast material (73202) | $329.75 | $549.58 | 2.0× |
| CT upper extremity with contrast (73201) | $566.03 | $943.39 | 1.7× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $445.07 | $741.79 | 2.6× |
| Cta Abdomen (74175) | $445.07 | $741.79 | 2.6× |
| CTA pelvis (72191) | $445.07 | $741.79 | 2.6× |
| Discography Cerv/Thor Spine (72285) | $2,548.69 | $4,247.81 | 1.4× |
| Diskography lumbar (72295) | $2,548.69 | $4,247.81 | 1.4× |
| Dxa Bone Density Axial (77080) | $166.15 | $276.91 | 1.7× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $118.31 | $197.18 | 1.4× |
| Esophagram (74220) | $270.11 | $450.19 | 1.6× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $166.15 | $276.91 | 1.7× |
| Foot 2 views (73620) | $118.31 | $197.18 | 1.4× |
| Forearm 2 views (73090) | $118.31 | $197.18 | 1.4× |
| Gastric emptying imaging study (78264) | $805.43 | $1,342.38 | 2.1× |
| Gated Heart Planar Single (78472) | $545.70 | $909.50 | 1.4× |
| Hand 2 views (73120) | $166.15 | $276.91 | 1.7× |
| Hepatobil Syst Image W/Drug (78227) | $805.43 | $1,342.38 | 1.5× |
| Hepatobiliary System Imaging (78226) | $805.43 | $1,342.38 | 2.1× |
| Ht Musc Image Planar Mult (78454) | $1,885.84 | $3,143.06 | 1.5× |
| Ht Muscle Image Spect Sing (78451) | $1,885.84 | $3,143.06 | 1.5× |
| K Flow/Funct Image Multiple (78709) | $699.64 | $1,166.07 | 1.3× |
| K Flow/Funct Image W/Drug (78708) | $699.64 | $1,166.07 | 1.3× |
| K Flow/Funct Image W/O Drug (78707) | $699.64 | $1,166.07 | 1.3× |
| Knee 3 Views (73562) | $118.31 | $197.18 | 1.4× |
| Liver & Spleen Imaging Static Only (78215) | $545.70 | $909.50 | 1.4× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $545.70 | $909.50 | 1.4× |
| Lung Ventilat&Perfus Imaging (78582) | $805.43 | $1,342.38 | 1.5× |
| Magnetic Image Jaw Joint (70336) | $375.80 | $626.33 | 1.6× |
| Meckels Divert Exam (78290) | $545.70 | $909.50 | 1.4× |
| Mra Head W/O & W/Contrast Material (70546) | $708.98 | $1,181.64 | 2.1× |
| MRA head w/o contrast (70544) | $708.98 | $1,181.64 | 3.1× |
| MRA head with contrast (70545) | $708.98 | $1,181.64 | 2.1× |
| MRA neck w contrast (70548) | $708.98 | $1,181.64 | 2.1× |
| Mra Neck W/O &W/Contrast Material (70549) | $708.98 | $1,181.64 | 2.1× |
| MRA neck w/o contrast (70547) | $708.98 | $1,181.64 | 3.1× |
| MRI abdomen w contrast (74182) | $829.95 | $1,383.25 | 2.5× |
| MRI abdomen w/o contrast (74181) | $829.95 | $1,383.25 | 3.6× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $566.03 | $943.39 | 1.7× |
| MRI cervical spine w contrast (72142) | $707.54 | $1,179.24 | 2.1× |
| MRI cervical spine w/o cont (72141) | $431.81 | $719.68 | 1.9× |
| MRI chest w/o contrast (71550) | $727.26 | $1,212.10 | 3.2× |
| MRI chest with contrast (71551) | $1,009.22 | $1,682.03 | 1.3× |
| MRI chest wo w contrast (71552) | $727.26 | $1,212.10 | 2.2× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $695.89 | $1,159.82 | 3.0× |
| MRI lumbar spine w contrast (72149) | $707.54 | $1,179.24 | 2.1× |
| Mri Neck Spine W/O & W/Dye (72156) | $566.03 | $943.39 | 1.7× |
| MRI orbit face &/neck w/o contrast (70540) | $695.89 | $1,159.82 | 3.0× |
| MRI orbit face neck w contrast (70542) | $695.89 | $1,159.82 | 2.1× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $695.89 | $1,159.82 | 2.1× |
| MRI pelvis w contrast (72196) | $695.89 | $1,159.82 | 2.1× |
| MRI pelvis w/o & w contrast (72197) | $695.89 | $1,159.82 | 2.1× |
| MRI pelvis w/o contrast (72195) | $695.89 | $1,159.82 | 3.0× |
| MRI thoracic spine w/o contrast (72146) | $345.45 | $575.75 | 1.5× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $695.89 | $1,159.82 | 3.0× |
| MRI, abdomen, combo (74183) | $829.95 | $1,383.25 | 2.5× |
| MRI, dorsal spine combo (72157) | $566.03 | $943.39 | 1.7× |
| MRI, dorsal spine contrast (72147) | $566.03 | $943.39 | 1.7× |
| MRI, joint upper extrem (73221) | $375.80 | $626.33 | 1.6× |
| MRI, joint upper extrem combo (73223) | $566.03 | $943.39 | 1.7× |
| MRI, lumbar spine combo (72158) | $566.03 | $943.39 | 1.7× |
| Myocardial Spect Multiple Studies (78452) | $1,885.84 | $3,143.06 | 1.5× |
| Neck soft tissue (70360) | $118.31 | $197.18 | 1.4× |
| Parathyroid Planar Imaging (78070) | $545.70 | $909.50 | 1.4× |
| Pelvis 1 or 2 views (72170) | $166.15 | $276.91 | 1.7× |
| Pulmonary Perfusion Imaging Particulate (78580) | $805.43 | $1,342.38 | 2.1× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $166.15 | $276.91 | 1.7× |
| Radex Ankle Complete Minimum 3 Views (73610) | $118.31 | $197.18 | 1.4× |
| Radex Calcaneus Minimum 2 Views (73650) | $118.31 | $197.18 | 1.4× |
| Radex elbow complete minimum 3 views (73080) | $118.31 | $197.18 | 1.4× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $166.15 | $276.91 | 1.7× |
| Radex fingr minimum 2 views (73140) | $118.31 | $197.18 | 1.4× |
| Radex foot complete minimum 3 views (73630) | $118.31 | $197.18 | 1.4× |
| Radex Hand Minimum 3 Views (73130) | $118.31 | $197.18 | 1.4× |
| Radex lower extremity infant minimum 2 views (73592) | $118.31 | $197.18 | 1.4× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $166.15 | $276.91 | 1.7× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $118.31 | $197.18 | 1.4× |
| Radex Ribs Unilateral 2 Views (71100) | $118.31 | $197.18 | 1.4× |
| Radex shoulder complete minimum 2 views (73030) | $118.31 | $197.18 | 1.4× |
| Radex Spine 1 View Specify Level (72020) | $118.31 | $197.18 | 1.4× |
| Radex Sternum Minimum 2 Views (71120) | $118.31 | $197.18 | 1.4× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $118.31 | $197.18 | 1.4× |
| Radex Toe Minimum 2 Views (73660) | $118.31 | $197.18 | 1.4× |
| Radex upper extremity infant minimum 2 views (73092) | $166.15 | $276.91 | 1.7× |
| Radex Wrist Complete Minimum 3 Views (73110) | $118.31 | $197.18 | 1.4× |
| Radiolog exam mandible compl minimum 4 views (70110) | $166.15 | $276.91 | 1.7× |
| Radiologic exam colon double contrast study (74280) | $270.11 | $450.19 | 1.6× |
| Radiologic exam colon single contrast study (74270) | $270.11 | $450.19 | 1.6× |
| Radiologic exam knee complete 4/more views (73564) | $166.15 | $276.91 | 1.7× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $166.15 | $276.91 | 1.7× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $270.11 | $450.19 | 1.6× |
| Radiologic exam upr gi trc double contrast study (74246) | $270.11 | $450.19 | 1.6× |
| Radiologic examination femur 1 view (73551) | $118.31 | $197.18 | 1.4× |
| Radiologic examination femur minimum 2 views (73552) | $118.31 | $197.18 | 1.4× |
| Radiologic examination knee 1/2 views (73560) | $118.31 | $197.18 | 1.4× |
| Radiologic examination tibia & fibula 2 views (73590) | $118.31 | $197.18 | 1.4× |
| Ribs bilateral 3 views (71110) | $166.15 | $276.91 | 1.7× |
| Scapula (73010) | $166.15 | $276.91 | 1.7× |
| Shoulder 1 view (73020) | $118.31 | $197.18 | 1.4× |
| Skull less than 4 views (70250) | $166.15 | $276.91 | 1.7× |
| Sternoclavicular joints (71130) | $118.31 | $197.18 | 1.4× |
| Thoracic spine 2 views (72070) | $166.15 | $276.91 | 1.7× |
| Thoracic spine 3 views (72072) | $166.15 | $276.91 | 1.7× |
| Thoracolumbar 2 views (72080) | $118.31 | $197.18 | 1.4× |
| Thyroid Imaging With Vascular Flow (78013) | $805.43 | $1,342.38 | 2.1× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $805.43 | $1,342.38 | 2.1× |
| Ultrasound Breast Limited (76642) | $147.94 | $246.56 | 1.8× |
| Ultrasound Exam Aaa Screen (76706) | $166.15 | $276.91 | 1.7× |
| Ultrasound, abdomen limited (76705) | $166.15 | $276.91 | 1.7× |
| Unlisted us procedure (76999) | $147.94 | $246.56 | 1.8× |
| Upper gi w/o kub (74240) | $270.11 | $450.19 | 1.6× |
| Us breast unilateral complete (76641) | $166.15 | $276.91 | 1.7× |
| Us chest (76604) | $166.15 | $276.91 | 1.7× |
| Us complete joint (76881) | $166.15 | $276.91 | 1.7× |
| Us exam, pelvic, limited (76857) | $166.15 | $276.91 | 1.7× |
| Us head (76506) | $166.15 | $276.91 | 1.7× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $166.15 | $276.91 | 1.7× |
| Us ob limited 1 or more fetuses (76815) | $166.15 | $276.91 | 1.7× |
| Us ob transvaginal (76817) | $166.15 | $276.91 | 1.7× |
| Us pelvic non ob complete (76856) | $166.15 | $276.91 | 1.7× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $166.15 | $276.91 | 1.7× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $166.15 | $276.91 | 1.7× |
| Us retroperitoneal complete (76770) | $166.15 | $276.91 | 1.7× |
| Us retroperitoneal limited (76775) | $166.15 | $276.91 | 1.7× |
| Us scrotum and contents (76870) | $166.15 | $276.91 | 1.7× |
| Us thyroid (76536) | $166.15 | $276.91 | 1.7× |
| Wrist 2 views (73100) | $118.31 | $197.18 | 1.4× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $118.31 | $197.18 | 1.4× |
| X-Ray Bend Only L-S Spine (72120) | $166.15 | $276.91 | 1.7× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $118.31 | $197.18 | 1.4× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $118.31 | $197.18 | 1.4× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $166.15 | $276.91 | 1.7× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $166.15 | $276.91 | 1.7× |
| X-Ray Exam Hip Uni 1 View (73501) | $118.31 | $197.18 | 1.4× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $118.31 | $197.18 | 1.4× |
| X-Ray Exam Hips Bi 2 Views (73521) | $166.15 | $276.91 | 1.7× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $103.12 | $171.86 | 1.0× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $166.15 | $276.91 | 1.7× |
| X-Ray Exam L-S Spine Bending (72114) | $166.15 | $276.91 | 1.7× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $118.31 | $197.18 | 1.4× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $166.15 | $276.91 | 1.7× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $166.15 | $276.91 | 1.7× |
| X-ray eye for foreign body (70030) | $118.31 | $197.18 | 1.4× |
| X-ray humerus (73060) | $118.31 | $197.18 | 1.4× |
| X-ray IV pyelogram (ivp) (74400) | $349.19 | $581.99 | 2.1× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $118.31 | $197.18 | 1.4× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $166.15 | $276.91 | 1.7× |
| X-ray nose-rectum child f.b. (76010) | $118.31 | $197.18 | 1.4× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $166.15 | $276.91 | 1.7× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $166.15 | $276.91 | 1.7× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $166.15 | $276.91 | 1.7× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $118.31 | $197.18 | 1.4× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $118.31 | $197.18 | 1.4× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $166.15 | $276.91 | 1.7× |
| X-ray thoracic spine 4 vw (72074) | $166.15 | $276.91 | 1.7× |
| X-Rays Bone Survey Complete (77075) | $166.15 | $276.91 | 1.7× |
| Xr c-spine 4 or 5 views (72050) | $166.15 | $276.91 | 1.7× |
| Xr facial bones less than 3 views (70140) | $118.31 | $197.18 | 1.4× |
| Xr orbits complete 4 views (70200) | $166.15 | $276.91 | 1.7× |